Healthcare Provider Details
I. General information
NPI: 1447420153
Provider Name (Legal Business Name): HILARY J. CHOLHAN, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/10/2008
Last Update Date: 03/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 HELENDALE RD SUITE 265
ROCHESTER NY
14609-3173
US
IV. Provider business mailing address
500 HELENDALE RD SUITE 265
ROCHESTER NY
14609-3173
US
V. Phone/Fax
- Phone: 585-266-2360
- Fax: 585-266-3495
- Phone: 585-266-2360
- Fax: 585-266-3495
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | 168213 |
| License Number State | NY |
VIII. Authorized Official
Name: DR.
HILARY
J
CHOLHAN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 585-266-2360